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Evaluation of Videolaryngoscope Use Outside the Operating Room

出版	2017
URL	http://books.google.com.hk/books?id=0Yy2zQEACAAJ&hl=&source=gbs_api

註釋Background-AimTracheal intubation outside the operating room (OR) tends to be more difficult due to inexperienced nursing staff, inability to administrate muscle paralysis especially when difficult airway is suspected, and other factors such as patient;s position on bed and inadequately working devices like suction. Target of this clinical study is the evaluation of videolaryngoscope in this setting.Material-MethodsIn a course of two years since our institution obtained the videolaryngoscope Glidescope Cobalt AVL Verathonu00ae , 1463 patients were asked for intubation outside the OR. 853 of them were outpatients in the Emergency Room (ER), and 610 were inpatients in the wards. We recorded the number of them who could not be intubated by experienced qualified anaesthesiologists using the u201cconventionalu201d methods of intubation (use of external tracheal pressure, stylet, and bougie), as well as the time needed for videolaryngoscopy intubation.Results842 (98.7%) among patients in the ER and 587 (96.2%) in the wards were intubated without the use of videolaryngoscope (mean intubation time 124u00b18sec and 135u00b111sec respectively). When other attempts failed, the anaesthesiologist used the videolaryngoscope. All patients (100%, p=0) were successfully intubated (mean intubation time 56u00b17sec). Intubation outside the OR is challenging even for the qualified anaesthesiologist and videolaryngoscope experienced use might be useful in such situations.ConclusionVideolaryngoscope use outside the OR appears to be an effective solution when other intubation methods did not succeed. More clinical data are needed to support this option.